ORDER FORM
First Name:
Last Name:
Address:
Apt/Suite Num:
City:
State:
Zip or Postal Code:
Country:
Email Address: 
ICQ:
Phone Number:
Who referred you to aWIZscript?
(Webmaster Name or Site)
Select Payment Type CREDIT CARD or On-line Check
Wire
EpassporteNew
West. Union
MoneyGramm
Web Money
Money Order New
Moneybookers New
Fethard New
E-gold, Finex, Rapida, Yandex-Money New
Do you already use another licensed TGP-script?
(please, enter the url)
Domain for license
Server Name or IP Address:
Server User Name:
Server Password:
Server Path for install:
MySQL info: hostname username
password database
If there is anything else regarding
the installation you want to tell
Please, enter code that you see below:
 
 
 




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